Opioids are very frequently prescribed for back pain. Opioid addictions are a horrendous problem in the US and around the World. If a lot of back pain is due to a hidden osteomalicia then there could be a switch away from opioids to treat back pain to taurine, calcium cabonate, vitamin D and vitamin K. Thousands and thousands of lives could be saved by switching to taurine, calcium carbonate, vitamin D3 and vitamin K. Mexico could be brought back from the abyss that drug cartels have brought Mexico to.
A point about a hidden osteomalacia is that in a hidden osteomalacia intracellular calcium homeostasis is dysregulated due to dysregulations of taurine synthesis. Taurine is involved in intracellular calcium homeostasis. Along with a hidden osteomalacia there would be a plethora of very negative psychological effects due to dysregulations in intracellular calcium homeostasis. People with back pain due to a hidden osteomalacia would not only be in physical pain but would also be in very serious psychological pain. Indeed back pain would be an indication that opioids should not be prescribed as individuals with back pain would be very prone to addiction to opioids due to the psychological pain that goes hand in hand with back pain.
The psychological pain associated with a hidden osteomalacia could be the driving force for addictions to opioids where there is back pain as opioids are not all that effective for the physical pain attendant on back aches.
If taurine, calcium carbonate, vitamin D3 and vitamin K (MK-7) could treat back pain this would be infinitely preferable to treatment of back pain with opioids.